MEDICARE: DR. RICHARD A RIPS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	7754	IA
2	122300000X	Dentist	7497	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689723389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD A RIPS DDS

Provider Business Mailing Address
First Line	:	7713 FLOURISH SPRINGS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-8212
Country	:	US
Telephone Number	:	641-774-6502
Fax Number	:

Provider Business Practice Location Address
First Line	:	7713 FLOURISH SPRINGS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-8212
Country	:	US
Telephone Number	:	641-774-6502
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	10/01/2021

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